Keatley Miller

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

710 S Church St
Spartanburg, SC 29306-5345

Phone

(864) 621-9026

NPI assigned

Jan 12, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaels Beauty LLC

  dba Jaels beauty

  • Prosthetic/Orthotic Supplier
  • Spartanburg, SC
  • NPI 1861080764
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1629618251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065345",
            "telephone_number": "864-621-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065345",
            "telephone_number": "864-621-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEATLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jaelsbeauty.com",
            "affiliation": "N",
            "address_1": "710 S Church St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293065345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Miller, LMSW
• Florena Miller
• Freda Marguerita Miller, LPC
• Kai Miller
• Kaniesha Vashon Miller
• Laverne Rena' Miller
• Lindsay Pabst Miller, D.D.S, M.S.
• Nicholas Miller, DO
• Stanley D Miller, MD
• Stephen Clark Miller, MD

• Prosthetics Case Management in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.